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Printable forms for family caregivers

Caregiver forms are printed pages where a family caregiver writes down what they keep track of for someone at home: blood pressure readings, medicines, appointments and phone numbers. This page lists common caregiver forms, what goes on each one and how to keep them together. Every form here is blank: it holds what you write, and the person's own doctor or pharmacist explains what it means.

Caring for someone at home comes with a lot to remember: what the cuff said this morning, which pill changed last week, the pharmacy's phone number, the question you meant to ask at the last visit. AARP and the National Alliance for Caregiving count 63 million family caregivers in the United States, nearly 1 in 4 adults. In many families, one of them is also the person who keeps the records.

A few printed forms, kept in one place, hold those records so that anyone who steps in (a sibling, a neighbor, a home aide, the person themselves) can read them.

The forms family caregivers use

FormWhat is on itWho reads it
Blood pressure logDate, time, the top and bottom numbers and the pulse for each home reading, with room for notesThe doctor or nurse who asked for home readings
Medication listEvery medicine, vitamin and supplement taken now, with the strength, the dose, the times, the reason and who prescribed itEvery doctor, the pharmacist, the hospital, a new aide
Daily medication logA line for each medicine at each time of day, and a box for each day of the week to tick or initialWhoever gives the next dose, and the family at the end of the week
Medication administration recordA whole month: a line for each medicine at each time of day, and the initials of whoever gave each doseEveryone who shares the job of giving medicines
Blood sugar logEach home blood sugar reading, before and after meals and at bedtime, with the dateThe doctor or nurse who asked for home readings
Vital signs sheetThe time, blood pressure, pulse, oxygen and temperature for each home reading, morning and eveningThe doctor or nurse who asked for home readings
Daily care logMeals and drinks, medicines given, toilet, washing and dressing, mood, sleep and notes, one page a dayThe next person on duty
Daily caregiver checklistEveryday tasks with a tick box for morning, midday, evening and night, and the initials of whoever tickedWhoever helps next
Caregiver timesheetTime in, time out and hours for each day of the week, the tasks done, both people's initials and signaturesThe caregiver and the family
Emergency information sheetConditions, allergies, doctors, the pharmacy, who to call and how the person communicates, on one pageParamedics, the emergency room, a visiting relative
Medical history formHealth conditions, allergies, medicines, past surgeries, devices, doctors and who to call, as a one-page health summaryA new doctor, a specialist, the hospital
About me pageWhat matters to the person, how they communicate, what upsets them and what helpsHospital staff, respite carers, new aides
Doctor visit pagesChanges since the last visit, questions to ask, notes and what was decidedThe caregiver at the next visit
Phone listFamily, friends, doctors and services, in large printAnyone in the house

We have free printables for twelve of them: a printable blood pressure log sheet, a large-print blood sugar log, a weekly vital signs sheet, a large-print medication list, one week of the daily log with our guide to keeping a daily medication log, a month of the medication administration record, a page of the caregiver daily log template with our guide to keeping it, a daily caregiver checklist to tick, a weekly caregiver timesheet, a one-page emergency information sheet for the fridge, a simple one-page medical history form, and a page of questions to ask your doctor. The others are pages of our Caregiver Binder. For a fuller health history, our Large-Print Medical History Form starts with the same one-page health summary, then has pages for health conditions, surgeries and hospital stays, allergies, vaccines, tests and results, and family health history.

What to keep in a caregiver binder: a checklist

A caregiver binder (some families call it a medical binder or a care notebook) is a ring binder with these pages in it. Use the list below as a checklist and tick what you have.

  • The current medication list, dated, with a spare copy in the front pocket for appointments.
  • Allergies, written on the medication list and on the emergency sheet.
  • This week's daily medication log, if more than one person gives doses, or this month's medication administration record when several people share the job.
  • Home blood pressure pages, if the doctor asked for home readings, newest week on top.
  • Home blood sugar pages, the same way, if blood sugar is checked at home.
  • Home vital signs pages, if the doctor asked for oxygen or temperature readings as well.
  • The emergency information sheet, with a second copy on the fridge. Our guide explains where the sheet goes and how the Vial of Life and File of Life programs work.
  • The phone list: doctors, pharmacy, family, neighbors, home care and transport.
  • Notes from the last doctor visit and the questions for the next one.
  • The about me page, for a hospital stay or a new aide.
  • Copies of insurance and ID cards, front and back.
  • A pen, clipped to the binder so it never has to be found.

The FDA's own medication form says to share the record at every visit, to keep a printed copy with you and to give a copy to a friend or loved one. A binder that goes to every appointment covers the first; a copy in a wallet and one with a family member cover the other two. The National Institute on Aging also publishes free worksheets for talking with the doctor, including one for tracking medications, and they fit the same binder.

Some families also keep a just in case binder of the information they would need to find later. Our Large-Print End of Life Planner has blank pages for important contacts, where documents and keys are kept, where to find money and insurance papers, digital accounts, funeral and memorial wishes, and messages to loved ones. It is not a will or a legal document: it records where the will and other papers are kept.

How to set up a caregiver binder

  1. Pick a binder with a clear front cover and an inside pocket. A 1 inch ring binder is enough to start.
  2. Add tab dividers, one for each kind of form: medicines, blood pressure, daily care, visits, contacts.
  3. Print the forms at "Actual size", and fill in the ones that rarely change (phone list, about me, emergency sheet) first.
  4. Put the current medication list in a sheet protector at the front, with the date it was last checked.
  5. Keep the binder in the same place every day, near where care happens, and tell everyone who helps where it is.
  6. Take it to every appointment and to the hospital. MedlinePlus suggests bringing the medicine list to a hospital stay.
  7. Date every change. When a medicine starts or stops, write the date and your initials, and start a new list when the old one gets crowded.

Who fills in the forms when several people help?

When a parent's care is shared between siblings, a partner and an aide, the forms work best with one simple habit: whoever does something writes it down, with the time and their initials. A daily caregiver log is the page for that: one day on a page, read at each handover. A daily caregiver checklist is the quicker version, ticked by time of day, and a caregiver timesheet records who was there and for how long. Agree on one person who updates the medication list after each appointment, so there is only ever one current copy. Everyone else reads it and adds to the logs.

If the person you care for can still write, ask them to fill in what they can. These are their records first.

What these forms are not

They are blank pages that hold what you write. They do not say what a reading means, whether a medicine or dose is right, or when to call for help: that is for the person's own doctor, nurse or pharmacist. A blood pressure log has a line for the target their doctor set, if they have one, and nothing else about numbers.

When the person you care for finds talking hard

Some of the people families care for can't always say what they need or how they feel, after a stroke, with aphasia or with dementia. Our communication boards for adults are picture boards to point to, and our dementia and memory pages have a large-print daily schedule and conversation cards. Both sit well in the same binder.

Guides and free printables

Frequently asked questions

What should be in a caregiver binder?

Start with the current medication list, allergies, an emergency information sheet, a phone list, home blood pressure pages if the doctor asked for them, notes from doctor visits and copies of insurance cards. Add a daily care log when more than one person helps.

Which caregiver form should I start with?

The medication list. It is the page asked for at doctor visits, at the pharmacy counter and in the hospital, and a daily medication log is copied from it. Add the blood pressure log when the person's doctor asks for home readings.

Are caregiver forms medical records?

No. They are the family's own notes, kept alongside the records the doctor's office and the pharmacy keep. Bring them to visits: the FDA's medicine form says to share the record at all visits.

Can I fill in the forms on a computer?

Yes. Our free blood pressure log, blood sugar log, vital signs sheet, medication list, medication log, medication administration record, medical history form, daily caregiver checklist and caregiver timesheet have fill-in fields you can type into before you print, in the free Adobe Acrobat Reader. You can also print them blank and write by hand.

Where should I keep the binder?

In the same place every day, near where care happens, such as a kitchen shelf. You can also keep the emergency sheet on the fridge and a copy of the medication list in a wallet or purse, as the National Institute on Aging suggests for the list.

Sources

We opened and checked every link on October 5, 2026.

  • New Report Reveals Crisis Point for America's 63 million Family Caregivers (Caregiving in the U.S. 2025), AARP and the National Alliance for Caregiving. 63 million Americans, nearly 1 in 4 adults, provided ongoing care for an adult or a child with a complex medical condition or a disability in the past year.
  • My Medicine Record (PDF), U.S. Food and Drug Administration. Enter all prescription and over-the-counter medicines and dietary supplements; share the record at all visits; keep a printed copy with you and give a copy to a friend or loved one; update it when anything changes.
  • Taking Medicines Safely as You Age, National Institute on Aging. Write down all medicines, including over-the-counter drugs, vitamins and supplements, with the amount, the times, the prescriber and the reason; keep one copy at home and one in a wallet or purse.
  • Taking multiple medicines safely, MedlinePlus (National Library of Medicine). Keep a list of all medicines, give every provider a copy, and bring the list to a hospital stay.
  • Measuring Your Blood Pressure, CDC. Use a blood pressure log to record home readings, take readings at the same time every day, and talk with the health care team about how often to measure.
  • Talking With Your Doctor Worksheets, National Institute on Aging. Free worksheets for questions, family and medical history, and tracking medicines.

An educational support tool. Not a substitute for evaluation or treatment by a licensed speech-language pathologist or physician. Read the full disclaimer.